| NPI | 1063647964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE R ALTMAN Executive Director/Bcba 843-628-2935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-09-52301-10-7178,1) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: SC 1-09-5230) |
| 103TS0200X Psychologist, School (Licence: SC 1052) | |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 4183) | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2012-06-12 |